GABRIELLE FERNANDES PA-C
NPI 1194453571
Physician Assistant in East Providence, RI

Active since August 12, 2022PECOS EnrolledAccepts Medicare Assignment
75.39/100
CMS Quality Rating
1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914(401) 457-1500 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gabrielle Fernandes Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GABRIELLE FERNANDES PA-C (NPI 1194453571) is an individual physician assistant in East Providence, Rhode Island and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1194453571
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGABRIELLE FERNANDESCredential: PA-C
Location Address1 KETTLE POINT AVEEast Providence, RI 02914-5375
Mailing AddressPo Box 1119Providence, RI 02901-1119
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 12, 2022
NPPES CertifiedAugust 12, 2022
NPI 1194453571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 KETTLE POINT AVE, East Providence, RI 02914

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gabrielle Fernandes Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254707334
PECOS Enrollment IDI20221013003091
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
156 services145 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
53 services53 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
43 services41 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
40 services38 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
36 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02914 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.78
Promoting Interoperability95
Improvement Activities40
Cost62.35

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Nurse Practitioner (Family)
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Nurse Practitioner (Family)
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Physician Assistant
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Physical Therapist
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Physical Therapist
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Orthopaedic Surgery
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Occupational Therapist
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gabrielle Fernandes's NPI number?

The NPI number for Gabrielle Fernandes is 1194453571. It was assigned to this individual provider in the NPPES registry on August 12, 2022.

Where is Gabrielle Fernandes located?

Gabrielle Fernandes practices at 1 Kettle Point Ave, East Providence, RI 02914. The listed phone number is (401) 457-1500.

What is Gabrielle Fernandes's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gabrielle Fernandes enrolled in Medicare?

Yes. Gabrielle Fernandes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Gabrielle Fernandes affiliated with any hospitals?

According to CMS data, Gabrielle Fernandes is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Gabrielle Fernandes was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.